{"title":"冠状病毒病 2019 年大流行对已实施的结直肠癌手术数量的影响：日本全国住院患者数据库分析。","authors":"Miyako Tazawa, Nobutoshi Nawa, Shinichi Yamauchi, Masanori Tokunaga, Kiyohide Fushimi, Yusuke Kinugasa, Takeo Fujiwara","doi":"10.1007/s00595-024-02913-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the impact of the COVID-19 pandemic on the number of colorectal cancer surgeries performed in Japan.</p><p><strong>Methods: </strong>We selected patients who underwent colorectal cancer surgeries between January, 2017 and December, 2020 from the Diagnosis Procedure Combination database. The COVID-19 pandemic was divided into three waves. We evaluated the changes in the number of surgeries performed for colorectal cancer during each wave, stratified by cancer stage using Poisson regression.</p><p><strong>Results: </strong>During the first wave, the rate ratio (RR) for stage III colon cancer decreased significantly (RR, 0.94), whereas those for stages 0 to II (RR, 1.01) and stage IV (RR, 1.04) were not different. During the second and third waves, the RR for stage 0 to II colon cancer decreased significantly (RR, 0.96), that for stage IV increased (RR, 1.09), and that for stage III was not different (RR, 0.97). During the first wave, the RR for stage 0 to II rectal cancer increased significantly (RR, 1.09), that for stage IV decreased (RR, 0.84), and that for stage III was not different (RR, 0.97).</p><p><strong>Conclusions: </strong>The number of colorectal cancer surgeries changed during the pandemic and varied according to the stage of disease.</p>","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Impact of the coronavirus disease 2019 pandemic on the number of colorectal cancer surgeries performed: analysis of a nationwide inpatient database in Japan.\",\"authors\":\"Miyako Tazawa, Nobutoshi Nawa, Shinichi Yamauchi, Masanori Tokunaga, Kiyohide Fushimi, Yusuke Kinugasa, Takeo Fujiwara\",\"doi\":\"10.1007/s00595-024-02913-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study examined the impact of the COVID-19 pandemic on the number of colorectal cancer surgeries performed in Japan.</p><p><strong>Methods: </strong>We selected patients who underwent colorectal cancer surgeries between January, 2017 and December, 2020 from the Diagnosis Procedure Combination database. The COVID-19 pandemic was divided into three waves. We evaluated the changes in the number of surgeries performed for colorectal cancer during each wave, stratified by cancer stage using Poisson regression.</p><p><strong>Results: </strong>During the first wave, the rate ratio (RR) for stage III colon cancer decreased significantly (RR, 0.94), whereas those for stages 0 to II (RR, 1.01) and stage IV (RR, 1.04) were not different. During the second and third waves, the RR for stage 0 to II colon cancer decreased significantly (RR, 0.96), that for stage IV increased (RR, 1.09), and that for stage III was not different (RR, 0.97). During the first wave, the RR for stage 0 to II rectal cancer increased significantly (RR, 1.09), that for stage IV decreased (RR, 0.84), and that for stage III was not different (RR, 0.97).</p><p><strong>Conclusions: </strong>The number of colorectal cancer surgeries changed during the pandemic and varied according to the stage of disease.</p>\",\"PeriodicalId\":22163,\"journal\":{\"name\":\"Surgery Today\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-08-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgery Today\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00595-024-02913-y\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Today","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00595-024-02913-y","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
目的：本研究探讨了 COVID-19 大流行对日本结直肠癌手术数量的影响：我们从诊断程序组合数据库中选取了 2017 年 1 月至 2020 年 12 月期间接受结直肠癌手术的患者。COVID-19 大流行分为三波。我们使用泊松回归法评估了每个波次期间结直肠癌手术数量的变化，并按癌症分期进行了分层：结果：在第一波次中，III 期结肠癌的比率（RR）显著下降（RR，0.94），而 0 至 II 期（RR，1.01）和 IV 期（RR，1.04）的比率则没有差异。在第二波和第三波中，0 至 II 期结肠癌的 RR 显著下降（RR，0.96），IV 期结肠癌的 RR 上升（RR，1.09），而 III 期结肠癌的 RR 没有差异（RR，0.97）。在第一波中，0 至 II 期直肠癌的 RR 显著增加（RR，1.09），IV 期直肠癌的 RR 降低（RR，0.84），III 期直肠癌的 RR 没有差异（RR，0.97）：结论：在大流行期间，结直肠癌手术的数量发生了变化，并根据疾病的阶段而有所不同。
Impact of the coronavirus disease 2019 pandemic on the number of colorectal cancer surgeries performed: analysis of a nationwide inpatient database in Japan.
Purpose: This study examined the impact of the COVID-19 pandemic on the number of colorectal cancer surgeries performed in Japan.
Methods: We selected patients who underwent colorectal cancer surgeries between January, 2017 and December, 2020 from the Diagnosis Procedure Combination database. The COVID-19 pandemic was divided into three waves. We evaluated the changes in the number of surgeries performed for colorectal cancer during each wave, stratified by cancer stage using Poisson regression.
Results: During the first wave, the rate ratio (RR) for stage III colon cancer decreased significantly (RR, 0.94), whereas those for stages 0 to II (RR, 1.01) and stage IV (RR, 1.04) were not different. During the second and third waves, the RR for stage 0 to II colon cancer decreased significantly (RR, 0.96), that for stage IV increased (RR, 1.09), and that for stage III was not different (RR, 0.97). During the first wave, the RR for stage 0 to II rectal cancer increased significantly (RR, 1.09), that for stage IV decreased (RR, 0.84), and that for stage III was not different (RR, 0.97).
Conclusions: The number of colorectal cancer surgeries changed during the pandemic and varied according to the stage of disease.
期刊介绍：
Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it").
The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.
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